# SOUTH BIG HORN COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
- **Other names:** Bonnie BlueJacket Memorial Nursing Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073535712
- **Legal business name:** SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
- **Authorized official:** MR. RICK SCHROEDER (ADMINISTRATOR)
- **Authorized official phone:** (307) 568-3311

## Contact information

- **Practice address:** 388 SOUTH US HWY 20, BASIN, WY 82410-8902
- **Practice address phone:** (307) 568-3311
- **Practice address fax:** (307) 568-2139
- **Mailing address:** 388 SOUTH US HWY 20, BASIN, WY 82410-8902
- **Mailing address phone:** (307) 568-3311
- **Mailing address fax:** (307) 568-2139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 01/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 007385 | BLUE SHIELD | WY |
| 05 | — | 106024401 | — | WY |
| 05 | — | 106024402 | — | WY |